PMC Physician Network, L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PMC PHYSICIAN NETWORK, L.L.C.

Practice address

1795 Devinney Rd
York, SC 29745

Phone

(803) 818-5995

Fax

(803) 818-5985

NPI assigned

Nov 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1306099312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742869",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742869",
            "telephone_number": "803-818-5995",
            "fax_number": "803-818-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 DEVINNEY RD",
            "city": "YORK",
            "state": "SC",
            "postal_code": "29745",
            "telephone_number": "803-818-5995",
            "fax_number": "803-818-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC PHYSICIAN NETWORK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5088",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venessa Amanda Phillips, FNP-BC, FNP-C
• Piedmont Physician Network LLC
• Katherine Piscatelli, DPT, ATC
• Taylor Addison Plummer-Fox
• PMC Physician Network, L.L.C.
• PMC Physician Network, LLC
• Jacob Alexander Pope, DPT
• Deanna Pounder
• Ethan Powell, PTA
• Kenya Powell

• Internal Medicine Physician in York, SC
• Providers in York, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.